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NCT01497899

Safety and Efficacy of E/C/F/TAF (Genvoya®) Versus E/C/F/TDF (Stribild®) in HIV-1 Infected, Antiretroviral Treatment-Naive Adults

Completed Phase 2 Results posted Last updated 19 November 2018
What this trial tests

Phase 2 trial testing E/C/F/TDF in Acquired Immunodeficiency Syndrome in 279 participants. Completed in 22 August 2016.

Timeline
28 December 2011
Primary endpoint
17 October 2012
22 August 2016

Quick facts

Lead sponsorGilead Sciences
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingdouble
Primary purposetreatment
Enrollment279
Start date28 December 2011
Primary completion17 October 2012
Estimated completion22 August 2016
Sites41 locations across Puerto Rico, United States

Drugs / interventions tested

Conditions studied

Sponsor

Gilead Sciences — full company profile →

Who can join

18 and older, any sex, with Acquired Immunodeficiency Syndrome or HIV Infections. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Percentage of Participants With HIV-1 RNA < 50 Copies/mL at Week 24 Primary · Week 24

The percentage of participants achieving HIV-1 RNA \< 50 copies/mL at Week 24 was analyzed using the snapshot algorithm, which defines a patient's virologic response status using only the viral load at the predefined time point within an allowed window of time, along with study drug discontinuation status.

GroupValue95% CI
E/C/F/TAF88.4
E/C/F/TDF89.7
Percentage of Participants With HIV-1 RNA < 50 Copies/mL at Week 48 Secondary · Week 48

The percentage of participants achieving HIV-1 RNA \< 50 copies/mL at Week 48 was analyzed using the snapshot algorithm, which defines a patient's virologic response status using only the viral load at the predefined time point within an allowed window of time, along with study drug discontinuation status.

GroupValue95% CI
E/C/F/TAF88.4
E/C/F/TDF87.9
Change From Baseline in log10 HIV-1 RNA at Weeks 24 and 48 Secondary · Baseline; Weeks 24 and 48
Baseline
GroupValue95% CI
E/C/F/TAF4.63± 0.572
E/C/F/TDF4.69± 0.577
Change at Week 24
GroupValue95% CI
E/C/F/TAF-3.20± 0.654
E/C/F/TDF-3.26± 0.606
Change at Week 48
GroupValue95% CI
E/C/F/TAF-3.22± 0.606
E/C/F/TDF-3.33± 0.572
Change From Baseline in CD4+ Cell Count at Weeks 24 and 48 Secondary · Baseline; Weeks 24 and 48
Baseline
GroupValue95% CI
E/C/F/TAF404± 181.6
E/C/F/TDF394± 209.6
Change at Week 24
GroupValue95% CI
E/C/F/TAF165± 115.6
E/C/F/TDF179± 127.7
Change at Week 48
GroupValue95% CI
E/C/F/TAF177± 144.1
E/C/F/TDF204± 120.4

Adverse events — posted to ClinicalTrials.gov

Time frame: Up to 186.2 weeks plus 30 days. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

E/C/F/TAF
Serious: 12/112 (11%)
Deaths:
E/C/F/TDF
Serious: 3/58 (5%)
Deaths:
All E/C/F/TAF
Serious: 35/273 (13%)
Deaths:

Serious adverse events (61 terms)

ReactionSystemE/C/F/TAFE/C/F/TDFAll E/C/F/TAF
AppendicitisInfections and infestations
Bipolar disorderPsychiatric disorders
DepressionPsychiatric disorders
Acute myocardial infarctionCardiac disorders
CholelithiasisHepatobiliary disorders
CellulitisInfections and infestations
PneumoniaInfections and infestations
Suicidal ideationPsychiatric disorders
Cardiac failure acuteCardiac disorders
Coronary artery diseaseCardiac disorders
Myocardial infarctionCardiac disorders
PericarditisCardiac disorders
ColitisGastrointestinal disorders
Gastric ulcer haemorrhageGastrointestinal disorders
Large intestine perforationGastrointestinal disorders
PancreatitisGastrointestinal disorders
Small intestinal obstructionGastrointestinal disorders
Non-cardiac chest painGeneral disorders
Systemic inflammatory response syndromeGeneral disorders
Clostridium difficile colitisInfections and infestations
Coxsackie viral infectionInfections and infestations
Cytomegalovirus colitisInfections and infestations
ErysipelasInfections and infestations
FuruncleInfections and infestations
Hepatitis CInfections and infestations
Other adverse events (39 terms — click to expand)

ReactionSystemE/C/F/TAFE/C/F/TDFAll E/C/F/TAF
Upper respiratory tract infectionInfections and infestations
DiarrhoeaGastrointestinal disorders
SyphilisInfections and infestations
CoughRespiratory, thoracic and mediastinal disorders
NauseaGastrointestinal disorders
BronchitisInfections and infestations
NasopharyngitisInfections and infestations
FatigueGeneral disorders
SinusitisInfections and infestations
Back painMusculoskeletal and connective tissue disorders
DepressionPsychiatric disorders
GastroenteritisInfections and infestations
HeadacheNervous system disorders
RashSkin and subcutaneous tissue disorders
PharyngitisInfections and infestations
InfluenzaInfections and infestations
HyperlipidaemiaMetabolism and nutrition disorders
ConjunctivitisInfections and infestations
ArthralgiaMusculoskeletal and connective tissue disorders
VomitingGastrointestinal disorders
Chlamydial infectionInfections and infestations
ToothacheGastrointestinal disorders
AnxietyPsychiatric disorders
Procedural painInjury, poisoning and procedural complications
OsteopeniaMusculoskeletal and connective tissue disorders
InsomniaPsychiatric disorders
Oropharyngeal painRespiratory, thoracic and mediastinal disorders
HypogonadismEndocrine disorders
Pain in extremityMusculoskeletal and connective tissue disorders
Seasonal allergyImmune system disorders
ConstipationGastrointestinal disorders
DyspepsiaGastrointestinal disorders
AcarodermatitisInfections and infestations
Abnormal dreamsPsychiatric disorders
ParaesthesiaNervous system disorders
FlatulenceGastrointestinal disorders
Anorectal human papilloma virus infectionNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Neck painMusculoskeletal and connective tissue disorders
Skin papillomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)

Most-reported serious reactions: Appendicitis, Bipolar disorder, Depression, Acute myocardial infarction, Cholelithiasis, Cellulitis, Pneumonia, Suicidal ideation.

Data from ClinicalTrials.gov NCT01497899 adverse events section.

Sponsor's own description

The primary objective of this study is to evaluate the efficacy of elvitegravir/cobicistat/emtricitabine/tenofovir alafenamide (Genvoya®; E/C/F/TAF) fixed-dose combination (FDC) versus elvitegravir/cobicistat/emtricitabine/tenofovir disoproxil fumarate (Stribild®; E/C/F/TDF) FDC in HIV-1 infected, antiretroviral treatment-naive adults.

Publications & conference data

4 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Approved HIV reverse transcriptase inhibitors in the past decade.
    Li G, Wang Y, De Clercq E. · · 2022 · cited 71× · PMID 35847492 · DOI 10.1016/j.apsb.2021.11.009
  2. Lack of impact of pre-existing T97A HIV-1 integrase mutation on integrase strand transfer inhibitor resistance and treatment outcome.
    Abram ME, Abram ME, Ram RR, Margot NA, et al · · 2017 · cited 26× · PMID 28212411 · DOI 10.1371/journal.pone.0172206
  3. Tenofovir: What We Have Learnt After 7.5 Million Person-Years of Use.
    Ustianowski A, Arends JE. · · 2015 · cited 18× · PMID 26032649 · DOI 10.1007/s40121-015-0070-1
  4. Stock market returns and clinical trial results of investigational compounds: an event study analysis of large biopharmaceutical companies.
    Hwang TJ. · · 2013 · cited 17× · PMID 23951273 · DOI 10.1371/journal.pone.0071966

Verify or expand the search:

Other trials of E/C/F/TDF

Trials testing the same drug.

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Currently open trials in the same condition.

Other Gilead Sciences trials

Trials by the same sponsor.

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Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing